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General NPI Number Information
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NPI Number | 1770224636
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Entity Type | Organization
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Legal Business Name | CROW CENTER FOR AUTISM, LLC
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 440 HIGHWAY 59 LOOP S STE 101
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City | LIVINGSTON
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State | TX
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Zip | 77351-9011
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Country | US
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Telephone | 936-328-8148
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Fax |
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Provider Business Mailing Address
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Address Line | 440 HIGHWAY 59 LOOP S STE 101
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City | LIVINGSTON
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State | TX
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Zip | 77351-9011
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Country | US
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Telephone | 936-328-8148
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMY CROW
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Credential |
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Telephone | 936-328-8148
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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